March 28, 2017, 10 p.m.
Migraine is a very common illness. People who suffer from migraine usually develop a one-sided
headache that is pulsating in nature. The pain can be moderate to severe in intensity. It is most
commonly present with nausea and/or vomiting. Usually the headache worsens gradually and cal last
between four and 72 hours. People with migraine tend to avoid bright light or loud noises, and find
solace in a quiet and dark room.
Those with classic migraine experience the aforementioned symptoms with the addition of an aura,
which can be visual (e.g. flashes of light), a sensation (e.g. a feeling of “pins and needles” down the
limb) or affect speech (e.g. inability to speak). An aura can last up to 60 minutes and the headache
follows within an hour. However, some patients may experience an aura without a headache.
A GP will be ale to diagnose migraine based on your medical history. He usually advice remedies such
as proper rest in a dark and quiet room. Use of painkillers can sometimes help to further alleviate the
headache. If vomiting or nausea is the main issue, the GP usually recommends anti-nausea medication,
which can be given orally or through injection (if needed). He may also prescribe medication to prevent
migraine if it is deemed regular enough to be disruptive to the patient's lifestyle and well-being.
Most of the time, migraine is triggered by:
Migraine-sufferers are usually able to identify what their triggers are and avoiding them tends to
prevent an attack. It is recommended to keep a headache diary to help identify the trigger factor if you
Visit us if you are unwell and experiencing symptoms listed below so that we can assess your condition
and determine whether a referral to the A&E is required for further investigation:
This article first appear on Changi General Hospital Caring Magazine (Jan-Feb 2017)
(By Dr Tan Shi Ching)